OrganizationActive
Prorehab, PC
NPI 1194778183 · Physical Therapy Clinic/Center · Saint Louis, MO
Provider details
- NPI number
- 1194778183
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Juana Granados, Credentialing Manager(630) 575-1980
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3726 S Kingshighway Blvd
Saint Louis, MO 63109-1800
Phone: (314) 351-7172
Fax: (314) 351-6885
Street-level locationGet directions
Mailing address
600 Oakmont Ln Ste 600c
Westmont, IL 60559-5548
Other names (DBA / former)
- Doing business as
- Athletico Physical Therapy
- Doing business as
- Athletico Physical Therapy
Registry dates
- Enumerated
- 2006-05-18
- Last updated
- 2020-01-17
- Certified
- 2020-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.